Abstract

GERICKE-BRUMM, Peter  and  REYNA-VILLASMIL, Eduardo. Mediastinal parathyroid adenoma as a cause of primary hyperparathyroidism. CES Med. [online]. 2019, vol.33, n.3, pp.241-247. ISSN 0120-8705.  https://doi.org/10.21615/cesmedicina.33.3.10.

Parathyroid glands participate in regulation of calcium concentrations by producing parathormone in response to hypocalcemia. Parathyroid adeno mas, which are rarely found in the mediastinum, are the most important cause of primary hyperparathyroidism, which is a rare disease with serious clinical manifestations and is diagnosed by combination of high concentrations of serum calcium and parathormone. It is considered that ectopic parathyroid adenoma is derived from the migration of the parathyroid glands to the mediastinum and is known as an important cause of the failure of primary exploration of primary hyperparathyroidism. We present a case of medias tinal parathyroid adenoma in a 48-year-old woman that led to appearance of primary hyperparathyroidism. Adenoma was removed by total median sternotomy.

Keywords : Parathyroid adenoma; Parathyroid glands; Primary hyperpara thyroidism; Mediastinum.

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